张伯礼教授“六因”临证用药经验集萃

Professor ZHANG Boli’s clinical medication experience based on “six etiological factors”

关键词:  六因  诊疗体系  中药煎服法  张伯礼

Key words:  six etiological factors  diagnostic and treatment system  method of decoction and administration of traditional Chinese medicine  ZHANG Boli

摘要:

总结张伯礼教授“六因”临证用药经验。张伯礼教授主张从发病机制、病证特异、四时节气、地域环境、个体差异及药物性能六维辨证施治。他提出中药煎服法对临床疗效至关重要；强调急症峻药速祛邪，慢病缓调以固本；重视病证结合，遣方用药；顺应四时调阴阳；因地选法，以达防治之宜；分龄别体，慎护胎孕，小儿轻剂，青壮泻实，老年攻补；精择道地药材，结合药物性能灵活配伍，巧用虫类轻剂通络化瘀，配伍制毒存效，构建“病-证-时-地-人-药”动态诊疗体系，“治其所苦”，以求达到最佳疗效。

Abstract:

This study summarizes Professor ZHANG Boli’s clinical medication experience guided by the “six etiological factors” theory. Professor ZHANG advocates a six-dimensional pattern differentiation system encompassing pathogenesis，disease characteristics，seasonal variations，geographical environment，individual differences，and medicinal properties. He emphasizes that traditional Chinese medicine decoction methods are crucial for clinical efficacy，recommending rapid pathogen expulsion in acute conditions and gradual regulation for chronic diseases. His approach includes：syndrome-disease integration in prescription，seasonal adaptation for yin-yang balance，region-specific prevention strategies，demographic-tailored treatments（mild doses for children，purgation for robust adults，and modified tonification for the elderly），selective use of authentic herbs，strategic combination of medicinal properties，and proper application of insect-derived agents for stasis resolution. This establishes a dynamic “disease-syndrome-time-place-person-medicine” diagnostic and treatment system to achieve optimal therapeutic outcomes.